TY - JOUR
T1 - Retained and recurrent bile duct stones
T2 - Operative management
AU - Cameron, John L.
PY - 1989/9
Y1 - 1989/9
N2 - Retained and recurrent bile duct stones can now be treated by a variety of nonoperative means. These include retrieval through instrumentation of the T-tube tract, chemical dissolution, endoscopie papillotomy, or lithotripsy. Operative management, however, is an alternative means of therapy that carries negligible mortality, minimal morbidity, and a high success rate. If operative management is used, for most patients common duct exploration, stone retrieval, and T-tube insertion will suffice. However, if the patient has risk factors that suggest the possibility of further stone disease, a drainage procedure such as a sphincteroplasty or choledochoduodenostomy should be added. Nonoperative management is now the first choice for managing retained or recurrent bile duct stones. If these methods fail or cannot be utilized, operative management can be used with a similar low mortality, low morbidity, and high success rate.
AB - Retained and recurrent bile duct stones can now be treated by a variety of nonoperative means. These include retrieval through instrumentation of the T-tube tract, chemical dissolution, endoscopie papillotomy, or lithotripsy. Operative management, however, is an alternative means of therapy that carries negligible mortality, minimal morbidity, and a high success rate. If operative management is used, for most patients common duct exploration, stone retrieval, and T-tube insertion will suffice. However, if the patient has risk factors that suggest the possibility of further stone disease, a drainage procedure such as a sphincteroplasty or choledochoduodenostomy should be added. Nonoperative management is now the first choice for managing retained or recurrent bile duct stones. If these methods fail or cannot be utilized, operative management can be used with a similar low mortality, low morbidity, and high success rate.
UR - http://www.scopus.com/inward/record.url?scp=0024363726&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0024363726&partnerID=8YFLogxK
U2 - 10.1016/0002-9610(89)90254-7
DO - 10.1016/0002-9610(89)90254-7
M3 - Article
C2 - 2672843
AN - SCOPUS:0024363726
SN - 0002-9610
VL - 158
SP - 218
EP - 221
JO - The American Journal of Surgery
JF - The American Journal of Surgery
IS - 3
ER -